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癌症患者心脏功能障碍的早期检测和治疗可提高总生存率。

Early detection and treatment of cardiac dysfunction in cancer patients improve overall survival.

作者信息

Zheng Lin, Weng Jiawu, Zhang Mingming

机构信息

Ningbo Fourth Hospital, Department of Cardiology - Ningbo, China.

Ningbo Fourth Hospital, Department of Medical Oncology - Ningbo, China.

出版信息

Rev Assoc Med Bras (1992). 2025 May 2;71(3):e20241437. doi: 10.1590/1806-9282.20241437. eCollection 2025.

Abstract

OBJECTIVE

The objective of this study was to analyze the impact of the early detection and treatment of cardiac dysfunction on overall survival in cancer patients.

METHODS

A retrospective analysis was conducted on clinical data from 60 cancer patients with concurrent cardiac dysfunction, admitted between January 2020 and November 2022. Patients were divided into an early treatment group (n=35), where treatment began within 24 h of diagnosis, and a late treatment group (n=25), where treatment started after 24 h. The clinical efficacy, early diastolic filling velocity, fractional shortening, left ventricular ejection fraction, and Quality of Life Questionnaire-Core 30 scores were compared before and after treatment. Adverse reactions, cardiovascular events, and 1-year survival rates were also evaluated.

RESULTS

The early treatment group showed higher total effective and survival rates compared to the late group (p<0.05). The post-treatment levels of early diastolic filling velocity, fractional shortening, left ventricular ejection fraction, and Quality of Life Questionnaire-Core 30 scores were statistically significantly higher in the early group (p<0.05), with no notable differences in adverse reactions (p>0.05). Kaplan-Meier analysis revealed a statistically significantly higher 1-year survival probability in the early treatment group (log-rank p=0.02).

CONCLUSION

Early detection and treatment of cardiac dysfunction in cancer patients can improve treatment efficacy and survival rate, better improve cardiac function and quality of life, and reduce the occurrence of adverse cardiovascular events.

摘要

目的

本研究的目的是分析心脏功能障碍的早期检测和治疗对癌症患者总生存期的影响。

方法

对2020年1月至2022年11月期间收治的60例合并心脏功能障碍的癌症患者的临床资料进行回顾性分析。患者分为早期治疗组(n = 35),在诊断后24小时内开始治疗;以及晚期治疗组(n = 25),在24小时后开始治疗。比较治疗前后的临床疗效、早期舒张期充盈速度、缩短分数、左心室射血分数和生活质量问卷核心30评分。还评估了不良反应、心血管事件和1年生存率。

结果

早期治疗组的总有效率和生存率高于晚期治疗组(p<0.05)。早期治疗组治疗后的早期舒张期充盈速度、缩短分数、左心室射血分数和生活质量问卷核心30评分在统计学上显著更高(p<0.05),不良反应方面无显著差异(p>0.05)。Kaplan-Meier分析显示早期治疗组的1年生存概率在统计学上显著更高(对数秩检验p = 0.02)。

结论

癌症患者心脏功能障碍的早期检测和治疗可提高治疗效果和生存率,更好地改善心脏功能和生活质量,并减少不良心血管事件的发生。

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